Chen M, Lechner J, Zhao J, Toth L, Hogg R, Silvestri G, Kissenpfennig A, Chakravarthy U, Xu H
Wellcome-Wolfson Institute of Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, UK.
Curr Mol Med. 2016;16(4):412-23. doi: 10.2174/1566524016666160324130031.
Infiltrating macrophages are critically involved in pathogenic angiogenesis such as neovascular agerelated macular degeneration (nAMD). Macrophages originate from circulating monocytes and three subtypes of monocyte exist in humans: classical (CD14(+)CD16(-)), non-classical (CD14(-)CD16(+)) and intermediate (CD14(+)CD16(+)) monocytes. The aim of this study was to investigate the role of circulating monocyte in neovascular age-related macular degeneration (nAMD). Flow cytometry analysis showed that the intermediate monocytes from nAMD patients expressed higher levels of CX3CR1 and HLA-DR compared to those from controls. Monocytes from nAMD patients expressed higher levels of phosphorylated Signal Transducer and Activator of Transcription 3 (pSTAT3), and produced higher amount of VEGF. In the mouse model of choroidal neovascularization (CNV), pSTAT3 expression was increased in the retina and RPE/choroid, and 49.24% of infiltrating macrophages express pSTAT3. Genetic deletion of the Suppressor of Cytokine Signalling 3 (SOCS3) in myeloid cells in the LysM-Cre(+/-):SOCS3(fl/fl) mice resulted in spontaneous STAT3 activation and accelerated CNV formation. Inhibition of STAT3 activation using a small peptide LLL12 suppressed laserinduced CNV. Our results suggest that monocytes, in particular the intermediate subset of monocytes are activated in nAMD patients. STAT3 activation in circulating monocytes may contribute to the development of choroidal neovascularisation in AMD.
浸润性巨噬细胞在诸如新生血管性年龄相关性黄斑变性(nAMD)等致病性血管生成过程中起关键作用。巨噬细胞起源于循环单核细胞,人类存在三种单核细胞亚型:经典型(CD14(+)CD16(-))、非经典型(CD14(-)CD16(+))和中间型(CD14(+)CD16(+))单核细胞。本研究旨在探讨循环单核细胞在新生血管性年龄相关性黄斑变性(nAMD)中的作用。流式细胞术分析显示,与对照组相比,nAMD患者的中间型单核细胞CX3CR1和HLA-DR表达水平更高。nAMD患者的单核细胞磷酸化信号转导子和转录激活子3(pSTAT3)表达水平更高,且产生的血管内皮生长因子(VEGF)量更多。在脉络膜新生血管(CNV)小鼠模型中,视网膜和视网膜色素上皮/脉络膜中pSTAT3表达增加,49.24%的浸润性巨噬细胞表达pSTAT3。在LysM-Cre(+/-):SOCS3(fl/fl)小鼠的髓系细胞中基因敲除细胞因子信号抑制因子3(SOCS3)导致STAT3自发激活并加速CNV形成。使用小肽LLL12抑制STAT3激活可抑制激光诱导的CNV。我们的结果表明,nAMD患者的单核细胞,特别是中间型单核细胞亚群被激活。循环单核细胞中的STAT3激活可能有助于AMD中脉络膜新生血管的发展。